Effect of inorganic carbon on nitrite accumulation in an aerobic granule reactor.

Pilot scale experiments were performed to evaluate the potential of nitrite type nitrification process with an airlift reactor and granular biomass. Initially, oxygen limitation was used as the main control parameter for accumulating nitrite in the effluent. After 30 d operation, the maximum nitrite conversion rate reached 2.5 kgNO2-N m(-3) d(-1), average diameter of the granule was 0.7 mm. Nitrite type reaction continued over 100 d, but nitrate formation increased after 150 d of operation. Once nitrate formation increased, oxygen limitation could not eliminate nitrite oxidising bacteria from granule. To overcome nitrate formation, laboratory scale batch experiments were conducted and it revealed a high concentration of inorganic carbon which had a significant effect on nitrite accumulation. Following this new concept, inorganic carbon was fed to the pilot scale reactor by changing pH adjustment reagent from NaOH to Na2CO3 and nitrite accumulation was recovered successfully without changing DO concentration. These results show that a high concentration of inorganic carbon is one of the control parameters for accumulating nitrite in biofilm nitrification system.

High-performance closed loop anaerobic digestion using pre/post sludge ozonation.

To maximize the sludge degradation efficiencies during anaerobic digestion, pre-ozonation of raw activated sludge and/or post-ozonation of anaerobically digested sludge were used in combination with a reactor operated without solid withdrawal (closed loop operation scheme). Out of the two studied configurations, the configuration with the post-ozonation of digested sludge was found to be superior with respect to degradation efficiencies, lower accumulation of total volatile solid (TVS) and lower required ozone dose. The TVS concentration in the reactor with post ozonation was found to be around 26 +/- 2 g/l at an average TVS loading of 0.6 kgTVS/m3 x d. The maximum TVS removal efficiencies were observed to be around 85% with average specific gas recoveries of 0.36 l CH4/gTVS fed. The ozone dose of 3% on the recycle sludge was found to be sufficient as it was observed that the higher ozone doses of 6% neither improved the TVS reduction efficiency nor reduced the TVS concentration in the reactor. The ozone requirements were estimated at around 0.054 gO3/gTVS removed or 0.045 gO3/gTVS fed. The soluble COD concentrations from the reactor ranged from 500-875 mg/l with negligibly small amount of VFA. The average COD in the centrate of the digested sludge was around 3000 mg/l suggesting the presence of colloidal COD in the reactors.

Skin eruption as the presenting sign of Hunter syndrome IIB.

We present a case of Hunter syndrome diagnosed because of skin eruption. A 4-year-old Japanese boy presented with a 3-4-months history of papular lesions on the back and extremities. His growth and development were almost normal. His face was not of coarse appearance. He had multiple, whitish to skin-coloured, papules and nodules symmetrically distributed on the scapular regions and the extensor aspects of the upper arms and thighs. There was no family history of similar symptoms. Skin biopsy showed the deposition of a considerable amount of mucin in the dermis. Although physical examinations failed to detect any other signs of Hunter syndrome, X-rays showed the characteristic features of mucopolysaccharidosis: deformities of the vertebral bone, ribs, and pelvis. Mucopolysaccharide analysis of the urine revealed a marked increase in dermatan sulphate and heparan sulphate. The activity of iduronate sulphatase in the lymphocytes was deficient, which was diagnostic for Hunter syndrome. We emphasize that the skin eruption can be the earliest sign of Hunter syndrome, particularly in the mild form presenting with normal development and growth.

Asymmetrical or heterogeneous enhancement of the internal jugular veins in contrast-enhanced CT of the head and neck.

With faster CT scanners, asymmetric/heterogeneous enhancement (ASHE) of the internal jugular veins (IJVs) is frequently encountered in the absence of pathology. We investigated the frequency, side, pattern and significance of ASHE in 200 patients with various head and neck lesions. Non-ionic contrast medium (300 mgI/ml) was infused into a forearm vein (right, n = 100); left, n = 100). Forty seconds after contrast medium injection, contiguous 5-mm-thick sections were obtained craniocaudally from the skull base to the aortic arch. CT machines with two different scanning cycle times (3 s, n = 100; 2 s, n = 100) were used. ASHE of the IJVs was observed in 51 patients (25.5%); the patient group receiving a right-sided injection with a 2-s scan cycle machine, showing a higher frequency (44%). ASHE was divided into four patterns: homogeneous low density, focal low density, heterogenous opacification and fluid-fluid level formation. ASHE was frequently observed in routine contrast-enhanced CT of the head and neck. Frequency of ASHE increased when the scanning cycle was shorter. We should be aware of this phenomenon to avoid its misinterpretation as venous thrombosis or other pathology.